Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · May 2016
Randomized Controlled TrialIntravenous Acetaminophen in Orbital Surgery.
To assess the role of intravenous acetaminophen (IVA) in orbital surgery. ⋯ When administered prior to orbital surgery, IVA significantly reduced pain scores and postoperative requirements for analgesic and anti-nausea medications.
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Ophthal Plast Reconstr Surg · May 2016
Multicenter StudyThe Quantitated Internal Suture Browpexy: Comparison of Two Brow-Lifting Techniques in Patients Undergoing Upper Blepharoplasty.
To describe and evaluate 1) the quantitated internal suture browpexy (ISB), which combines the advantages of a browpexy and "brassiere suture," 2) the endoscopic Endotine browplasty, and 3) to compare these two techniques in patients undergoing simultaneous upper blepharoplasty. ⋯ Upper blepharoplasty alone is associated with brow descent; performing ISB simultaneously effectively prevents this descent. Endotine browplasty with upper blepharoplasty achieves significant brow elevation. Quantitation of the browpexy allows reproducible placement of the suture thereby producing consistent and symmetrical results.
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Histoplasma capsulatum var capsulatum is a dimorphic fungus endemic to the Ohio and Mississippi River Valleys of the United States. In this case report, a 33-year-old woman who presented with a right orbital mass causing progressive vision loss, diplopia, and facial swelling is described. ⋯ The 1.5 × 1.8 × 2.3 cm cicatricial mass demonstrated a granulomatous lesion with necrosis and positive staining consistent with Histoplasma capsulatum var capsulatum infection. To the authors' knowledge, this is the first case of orbital histoplasmosis to be reported in the United States and the first case worldwide of orbital histoplasmosis due to Histoplasma capsulatum var capsulatum.